Through the Clinical High Risk for Psychosis (CHR-P) program, Integral Care will implement a stepped-care model to reduce the durations of untreated psychosis for individuals under the age of 24 in Travis County (Austin), Texas. This project will implement evidenced-based screening an assessment utilizing the Prodromal Questionnaire-Brief (PQB) and the Structured Interview for Prodromal Symptoms and expand Integral Care's Coordinated Specialty Care (CSC) services for youth and young adults experiencing psychosis. This evidence based model for treating first episode psychosis supports shared decision making through a team of specialists working together to support the client with their needs and goals and has been shown to result greater improvement in symptoms, relationships, quality of life, work/school involvement, and treatment engagement when compared to traditional services. CSC is part of a continuum of behavioral health services of varying intensity that support transition-age youth and help them remain engaged in care. Outreach and screening efforts will be focused on individuals ages 15-25 and will target three groups: new and current clients who are 15 to 17 years old and have not yet transitioned to adult mental health services, new clients who are 18-25 years old and entering services through standard agency processes (standard intake or crisis), and individuals between the ages 15-25 who are referred from secondary or post-secondary schools. Integral Care plans to serve 500 individual annually through this project. By enhancing its existing CHR-P program and increasing its capacity to deliver CSC services, Integral Care can improve access to care and reduce the wait time for young adults at high risk of psychosis, thus improving clinical prognosis and quality of life outcomes. Goals for this project include: enhancing current CHR-P program by hiring a new Clinical Coordinator and Case Manager, training 30 staff annually in the PQB screening and expanding the age range for eligible clients to include 15 year olds; increasing capacity for CSC in Travis County by hiring additional staff to reduce caseloads and adding 5 slots for clients; ensuring strategies and structures are informed by system of care principles by expanding family and youth partnership[s, expanding youth and family driven quality improvement committee, attending one provider meeting per year to provide information on CHR-P, and incorporating families and youth in shared decision making; and expanding outreach to secondary schools and post secondary education with outreach to a minimum of one secondary or postsecondary school per quarter and screen all referrals from these institutions.